NPIMap

Individual provider Active NPI

Abhishek Mishra, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1053816587
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME146661 Issued in FL
Practice address
12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone
(321) 235-0692
Fax
(321) 235-0694
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME146661 FL Primary

Addresses

Primary practice location

12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511

Mailing address

12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone (321) 235-0692

Other identifiers 2

IdentifierTypeStateIssuer
ME146661OtherFLMEDICAL LICENSE
111328100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111001472 FL Practitioner - General PracticePractitioner - Internal Medicine 8123438637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Drexel University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Central Florida IncGroup PAC ID 8628094018, 39 clinicians

Practice addresses (Care Compare)

12301 Lake Underhill Rd
Suite 215
Orlando, FL 32828-4511
Phone (321) 235-0692

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Halifax Health Hospice Hospice, Port Orange, FL, CCN 101522
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Aviata at St Cloud Nursing home, Saint Cloud, FL, CCN 105888
  • Lotus Nursing and Rehabilitation Center Nursing home, Orlando, FL, CCN 105564
  • Aviata at Colonial Lakes Nursing home, Winter Garden, FL, CCN 105440
  • Metro West Nursing and Rehab Center Nursing home, Orlando, FL, CCN 105868
  • Aviata at Kissimmee Gardens Nursing home, Kissimmee, FL, CCN 106074

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Central Florida Inc Internal Medicine CurrentSince Oct 26, 2020 Accepting new patients
West Donegan Ave SNF Opco LLC PastSince Oct 26, 2020 Accepting new patients
West Colonial Drive Opco LLC PastSince Sep 1, 2023 Accepting new patients

Locations

12301 Lake Underhill Rd
Ste 215
Orlando, FL 32828
Phone 3212350692102

3564 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 405-4741

7620 Lake Underhill Rd
Orlando, FL 32822
Phone (407) 460-3558

Interoperability endpoints

  • Direct secure messaging: abhishek.mishra@4081.securemail.prognocis.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aviata at Colonial LakesWinter Garden, FL, CCN 105440 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 1, 2023
Apr 1, 2023
Aviata at Kissimmee GardensKissimmee, FL, CCN 106074 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 26, 2020
Oct 26, 2020
Aviata at St CloudSaint Cloud, FL, CCN 105888 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 12, 2025
Mar 12, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1053816587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284511",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284511",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "ABHISHEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME146661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME146661",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111328100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.